HomeMy WebLinkAbout2142 PLACIDO CT; ; CB880129; Permit.,, z 0 ;:::
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'ffi I hereby affirm that I am licensed under
~ovl1lon1 of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business
and Profe1alona Code, and my license is in
full force and effect.
I htreby alfum ll'lat I am exempl lrom lhe Contrac·
tor's LIC.ense law tor the lollowing reason (Sec 7031 5
Busmess and Professions Code Any city or county whK.t. re· quires a permit to construct. aller. ltnpfove. oemohsh. o,
repair any structure, prior to I1s issuance also requires :tie ap-
p1tc.1nt !or such perm11 to hie a SJ9ned slatemenl thal he 1s
licensed pursuant to !he prov1st0ns of 1he Conuac1or·s
Ltcense Law {Chapter 9 axnmencmg w1Ih SectlOO 7000 ol Oiv1s1on 3 Of lhe Business and Professions COde) Of Jhat 1s ex•
empl lherelrom aoo lhe tia:Sts lor the anegea e11:emphon Any v10lat1on ol Section 7031.5 by an apphc.tnl !or a permit sub
1ec1s the at,P!teanl to a crv1! pen.arty of no! more than ILVe hun-
O•ed OOilalS ($5()()1
J I. as owntr of the property. or my employees with wages
as their sole compensat10n. will do lhe work. and !he suuc-
ture 1s not mtended or ollered tor sale (Sec 7044. Busmess
and Profess,om, COCle The Conlractor"s license Law does
nol apply to an owner oi property wno OOtlds Of improves
!hereon and who does such WOfk himself or lhrougl'l rus own
emo'Oyees. provided lhal such improvements are not 1n1end-
ed or offered fOf sale II. however. the 1>u11dmg or improve-
ment Is sotd w1lh1n one year of complehon. the owner-builder
will have the burden 01 proving thal he did nol bUlld or 1m-pr011e lor lhe purpose of sa~,
1 I, as owner ot lhe property. am exclusively contracting
wllh hcensed contrac1ors 10 construct !he prOjecl (Sec 7044, Business and Profess10ns COde The Conlractor's Lteense
Law does not apply 10 an owner of property who builds or Im-
p1oves !hereon, and who contracts lot each protetls with a
contractor(s) hcense pursuant 10 the Contractor's Lkense law!
! I As a homeowner I am improving my home. and the lollow
,ng cond1hons exist
1 The work ,s being perlormed prior 10 sale 2 I have lived m my home lor twelve months
prior to comp"hon of !his work
3 I have not clamled this e.llemphon durmg lhe last three years
~r 1lh~:,::~I under Sec ______ , B & pc
-------------
~ I hereby afhrm that I have a cert1f1cate of·consent to :
l:!1-msure. or a cert1hca1e of Workers Compensation In-
surance. or a certlfled copy thereof 1Sec 3800. Labor Code) I
POLICY NO 1013568-87
COMPANY '£J Copy IS 1fil.~t,1; c~und
~ Cert1l1ed cooy 1s hereby furnished
CEATIFICA TE OF EXEMPTION FROM
WORKERS" COMPENSATION INSURANCE
~This sec11on need not be compleled 1t the permit
1s for one hundred dollars {S 100) Of lf'SS)
0 I certify that 1n the perlormance ot the work for which
this permit 1s issued, I sh.all not employ any person 1n any
manner so as to become subJect to the WOfkers· Compen-
sation Laws of Cahlorn1a
NOTICE TO APPLICANT; If. after making this Cert1f1cate
of Exemption. you shOuld become subJect 10 the Workers·
Compensa11on provisions of the Labor Code. you must
.lorthw1th comply with such provisions or this permit Mlall
be deemed revoked.
0 I hereby affirm tha1 there 1s a construction lending
agency-tor the performance of the work tor which this per-
mit 1s issued {Sec 309ri5i\~)
Lender s Name __ _
Lender's Address
USE BALL POINT PEN ONLY & PRESS HARD APPLICANT TO FILL IN INFORMATION WITHIN SHADED AREA AND DECLARATIONS.
CARLSBAD BUILDING DEPARTMENT APPLICATION & PERMIT 2075 Las Palmas Dr., Carlsbad, CA 92009-1 915 (619) 438-1161
JOB AOORESS AV.ST.RO. THOMAS BROS NO. I OA~~;l;;~;ATIONI
BUSINESS LICENSE II VALUATION PERMIT NUMBER
2142 Placido Ct. .. 19451 ~ol~q ~
LOT I BLOCK I SUBDIVISION 1 ASSESSOR PARCEL NO CONTRACTOR CONTRACTORS PHONE • ZONE ~
OWNER"S NAME I 436_;;~;s PHONE
Arl1:>n l<'nc::t-,:,r Pl11mhina hq7_41c:;1
CONTRACTOR"S ADDRESS STATE LICENSE NO. BUILDING SO. FOOTAGE Daniel Berry 2819 Central Ave 11,1,11110 OINNER"S MA.1L1NG A DDR ESS
2142 Placido Ct. Carlsba.d 92009 DESIGNER DESIGNER'S PHONE
DESCRIPTION OF WORK Water Heater Reolacement DESIGNER"S ADDRESS STATE LICENSE NO.
F/P FLA ELEV. NO OCC GP EDU ~ STORIES
vO NO --0013 01/27 0101 02BldPmt 10.0 ~ -I CENSUS TRACT I PARKING SPACE : AES UNITS I GRADING PERMIT ISSUED I REDEVELOPMENT TYPE OCC LOAD FIAESPP. AREA CONST ·~ y D ND vO NO vO NO Nor Valid Un~s Machine Ctrtifi«J
QTY. PLUMBING PERMIT -ISSUE ~ QTY. MECHANICAL PERMIT. ISSUE /S7 SUMMARY/ACCOUNT NUMBER
EACH FIXTURE TRAP INS TALL FURN DUCTS uP TO 100.000 BTU / llUILUINl, StNl'l!I I uu 1 ·o 1 u·uu·uu·o«v
EACH BUI LUING SEWER OVER 100.000 BTU / SIGN PERMIT 001-810-00-00-8221
1 EACH WATER HEATER ANO OR VENT $2.50 BOILER/COMPRESSOR UP TO 3 HP / PLAN CHECK 001·810·00-00-8891
EACH GAS SYSTEM 1 TO 4 OUTLETS BOILER/COMPRESSOR 3 15 HP / TOTAL PLUMBING oo:-810-00-00-8222 <:1n nn
EACH GAS SYSTEM 5 OR MORE MET AL FIREPLACE / ELECTRICAL 001·810-00-00·8223
EACH INST AL . ALTER, REPAIR WATER PIPE VENT FAN SINGLE ou<;_V' MECHANICAL 001 ·8 t0-00·00·8224
EACH VACUUM BREAKER MECH EXHAUST Aoo·oucTs MOBILEHOME 001 ·810·00·00·8225
WATER SOFTNER RELOCATlg,,'1JF EA FURNACE1HEATER SOLAR . 001-810·00·00·8226
EACH ROOF DRAIN I ,NSIDE I ORYEf3...l.'!NT STRONG MOTION 880-519-92-33
/ TOTM MECHANICAL FIRE SPRINKLERS 001·810·00·00·8227 ~.-.o~ ......... -........
TUlAI PIUMBINL I !;ilU,uu PUBLIC FACILITIES FEE 320·810·00-00-87~• ~,~--,-..... .....
!,~ BRIDGE FEE 360-810·00·00·8740
QTY. ELECTRICAL PERMIT -ISSUE QTY. MOBILE H OME SETUP PARK-IN·LIEU (AREA / l '>
NEW CO NST EA AMP SWl BKR I/ CAR PORT /. 312-810·00·00-8835 -; ) TIF ' 1 PH J PH / AWNING V LA COSTA TIF 311 ·810·00-00-8835
EXIST BLOG EA AMP•SWT BKR / GARAGE / FMF
1 PH J PjV" / LICENSE TAX 001 ·810-00·00·8162
REMODEL AL Tt A PER CjPiJ IT / .l MFF 880-519-92-57 •
TEMP POLE 700 AMei;"" / I I {jl .. -
OVER 200 AMPV . / I /J )
TEMP OC()if'ANCY 130 DAYSI / I nn
/ ' / A J/J I CREDIT DEPOSIT
/ IOIAL fLELIRICAl I V TOTAi /// ( TOTAL FEES PAYABLE I / ~in nn
I HAVE CAREFULLY EXAMINED THE COMPLETED APPLICATION ANO PERMIT ANO 00 HEREBY Exp,rat,on Every permit issued by the Bu1td1ng Otflc111 undet' the prov,s,ons of this * AN OSHA PEMIIT tS AE0UtAE0 FOfl £XCAVATIONS OVER
CERTIFY UNDER PENALTY OF PERJURY THAT ALL INFORMATION HEREON INCLUDING THE Code shall ex:pere by hm1tat1on and become null and "'o,d If the building or work 5· o·· DEEP ANO OEMOI.ITION OR CONSTRUCTION OF DECLARATIONS ARE TRUE AND CORRECT ANO I FURTHER CERTIFY ANO AGREE IF A PERMIT 15 authorized by such permtt 1s not commenced within 180 days rrom the date uf such STRUCT\JAlS OVER l STOAIES IN HEIGHT
ISSUED" TO COMPLY WITH ALL CITY COUNlY ANO STATE LAWS GOVERNING BUILDING CON =~"':c, '!, t=~v ~,:•:x .. ~~~c:~;~~~o~~~.:le:~~~ r~~'~,sr:rcr.~-:1 o, STRUCTION WHETHER SPECIFIED HEREIN OR NOT I ALSO AGREE TO SAVE INDEMNIFY ANO APPLICANTS SIGNATURE If, OWNER(] CONTRACTO~ 4PPROVEO ✓ o/ 1°7/~r KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES. JUDGMENTS. COSTS ANO ~ l lfY'lY"\ ~,r, ~ EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE ~ BY PHONE [J GRANTING OF THIS PERMIT "_i (;At J..r..,
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TYPE I DATE INSPECTOR
BUILDING ' I
FOUNDATION I
REINFORCED STEEL I
MASONRY I -I
GUNITE OR GROUT I
SUB FRAME D FLOOR D CEiii.iNG
SHEATHING D ROOF □ SHEAR
FRAME I
EXTERIOR LA TH I
INSULATION I
I
INTERIOR LATH & DRYWALL I
I -
PLUMBING I
I
D SEWER AND BUCO CJ PU CO
UNDERGROUND □ WASTE D1 WATER
TOP OUT D WASTE D WATER
TUB AND SHOWER PAN I
GAS TEST I
□ WATER HEATER □ SOLAR W'p. TER
I
ELECTRICAL I
D ELECTRIC UNDERGROUND d UFFER
ROUGH ELECTRIC I
□ ELECTRIC SERVICE □ TEMPG>RARY
□ BONDING □ POOL I
I
I
MECHANICAL I
□ DUCT & PLEM., □ REF. PIPfNG
HEAT -AIR COND. SYSTEMS I
VENTILATING SYSTEMS I
I
I
CALL FOR FINAL /NSPECTfON WHEN ALL APPROPRIATE
ITEMS ABOVE HA VE BEEN APPROVED.
FINAL I
I
PLUMBING I
ELECTRICAL I
MECHANICAL ' J_
GAS I
BUILDING I
SPECIAL CONDITIONS :
I I
. . -
FIELD INSPECTION RECORD
REQUIRED SPECIAL INSPECTIONS INSPECTOR'S NOTES
INSPECTION REO IF INSPECTORS DATE CHECKED APPROVAL ---
SOILS COMPLIANCE --
PRIOR TO --
FOUNDATION INSP
STRUCTURAL CONCRETE
OVER 2000 PSI
PRESTRESSED -CONCRETE -
POST TENSJONED
CONCRETE I
FIELD WELDING -
HIGH STRENGTH
BOLTS --
SPECIAL MASONRY -·,:--I
I
PILES CAISSONS -. --
-
1
--
Civn c:\~ _) C ~-~ Ct... _J: .~ T,..,•,:
-
-.... -,. ,. -~
-
2075 LAS PALMAS DRIVE
CARLSBAD, CA 92009-4859
January 27, 1988
Daniel Berry
2142 Placido Court
Carlsbad, CA 92009
Dear Sir:
<ltitp of <ltarlsbab
DEVELOPMENT PROCESSING
SERVICES
Recently you have had a permit pulled in your name for the
installation of a water heater. For your protection, it is important
that you have the work checked out by one of our inspectors. There
is no charge for this service.
Please contact the Building Department at 438-3101 to have an
inspection done.
Thank you.
BUILDING INSPECTION DEPARTMENT
CITY OF CARLSBAD
JB :jb
TELEPHONE
(619) 438-1161
,